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Step and ramp induction of myocardial ischemia: comparison of in vivo and in silico results.
Salem, J E; Cabrera, M E; Chandler, M P; McElfresh, T A; Huang, H; Sterk, J P; Stanley, W C.
Afiliación
  • Salem JE; Department of Biomedical Engineering, Case Western Reserve University, Cleveland OH, USA.
J Physiol Pharmacol ; 55(3): 519-36, 2004 Sep.
Article en En | MEDLINE | ID: mdl-15381824
This study tested the robustness of our computational model of myocardial metabolism by comparing responses to two different inputs with experimental data obtained in pigs under similar conditions. Accordingly, an abrupt and a gradual reduction in coronary flow of similar magnitude were implemented and used as model input. After flow reductions reached 60% from control values, ischemia was kept constant for 60 min in both groups. Our hypotheses were that: (1) these two flow-reduction profiles would result in different transients (concentrations and flux rates) while having similar steady-state values and (2) our model-simulated responses would predict the experimental results in an anesthetized swine model of myocardial ischemia. The two different ischemia-induction patterns resulted in the same decrease in steady-state MVO2 and in similar steady-state values for metabolite concentrations and flux rates at 60 min of ischemia. While both the simulated and experimental results showed decreased glycogen concentration, accumulation of lactate, and net lactate release with ischemia, the onset of glycogen depletion and the switch to lactate efflux were more rapid in the experiments than in the simulations. This study demonstrates the utility of computer models for predicting experimental outcomes in studies of metabolic regulation under physiological and pathological conditions.
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Isquemia Miocárdica / Miocardio Tipo de estudio: Etiology_studies / Prognostic_studies Límite: Animals Idioma: En Revista: J Physiol Pharmacol Asunto de la revista: FARMACOLOGIA / FISIOLOGIA Año: 2004 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Polonia
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Isquemia Miocárdica / Miocardio Tipo de estudio: Etiology_studies / Prognostic_studies Límite: Animals Idioma: En Revista: J Physiol Pharmacol Asunto de la revista: FARMACOLOGIA / FISIOLOGIA Año: 2004 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Polonia